Xu Ling, Lee Yura, Kim Bum Jung, Chen Lin
School of Social Work, University of Texas at Arlington , Arlington, Texas, USA.
Department of Social Work, Helen Bader School of Social Welfare, University of Wisconsin-Milwaukee , Milwaukee, Wisconsin, USA.
Home Health Care Serv Q. 2021 Jan-Mar;40(1):75-92. doi: 10.1080/01621424.2020.1805083. Epub 2020 Aug 17.
Using Andersen's behavioral model of service utilization, this study aimed to understand how predisposing, enabling, and need factors were associated with two types of service utilization among caregivers of people with dementia. Caregiver participants ( = 637) were from the Resources for Enhancing Alzheimer's Caregivers Health (REACH II) study. Binary logistic and linear regression analyses were conducted to predict whether participants used services and the frequency of such service utilization. Results showed that some enabling and need factors were significantly associated with both discretionary and non-discretionary service utilization. Results also indicated some need factors were significant factors of the frequency of use for both discretionary and non-discretionary services. In addition, being Hispanic or African American moderated the association between some enabling or needs factors and service utilization. Practice attention needs to be paid on several enabling and needs factors among Hispanic and African American caregivers of people with dementia.
本研究采用安德森服务利用行为模型，旨在了解易患因素、促成因素和需求因素与痴呆症患者照料者的两种服务利用类型之间的关联。照料者参与者（n = 637）来自增强阿尔茨海默病照料者健康资源（REACH II）研究。进行二元逻辑回归和线性回归分析，以预测参与者是否使用服务以及此类服务利用的频率。结果表明，一些促成因素和需求因素与自主和非自主服务利用均显著相关。结果还表明，一些需求因素是自主和非自主服务使用频率的重要因素。此外，西班牙裔或非裔美国人缓和了一些促成因素或需求因素与服务利用之间的关联。需要关注痴呆症患者的西班牙裔和非裔美国照料者中的若干促成因素和需求因素。
